1981, 11-20 Permit: 81B-2049 Relocate Gas MeterPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
CyNORTH
811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
E. 8524 Knox
Avenue
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
UB 1 1 N
PARCEL NUMBER/S
'
I
0
7544-9049:
OWNER
PHONE
Kenneth E. Jeffrey
926-0179
3.
ADDRESS
ZIP
Actual Set Backs in Feet
E. 8524 Knox Avenue
99206
North South East west
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Same
1' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N.
❑ RPL. ❑ MVE.
), OF
ID OTHER
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
7v
LElU
❑ BD. PLMB. MECH.
❑ M.H. ❑ POOL
WORK
of EXEMPTION
DESCRIBE WORK
Enum, Dist,
Location (Area)
FEES COLLECTED
3. Relocate gas meter
VALUATION I SOURCES GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
UTILITIEV V�/ X/� Public ❑ Private ❑
a, Single $
1 hereby certify that I have read and examined this application and have read the 'NOTICE" provisions included
Dn reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local I w regulating construction or the
performance of constructio . SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICAN
Mech. 12.00
SPECIAL APPROVALSI SPECIAL CONDITIONS:lu
��, — ,, — Plan Check
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SSEPA Checklist
`2
4 c h "fan g
PERMIT IS NONTRANSFERABLE
SEPA
., ,y _ PERMIT NUMBED
�[t* *12,00
�I._ U
1200x
* C1, r,
6, 4 1 7,
Mobile Home
Other (Specify)
TOTAL $ 12'00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
p'-8' 20 49 Z
*120,0 0 -1 -